Array
(
    [id] => 985
    [catid] => 191
    [title] => 成人非心脏手术围术期血压评估与管理指南
    [thumb] => 
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    [description] => 
    [hits] => 
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    [tableid] => 0
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        (
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    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 推荐监测围术期 收缩压、收缩压、平均动脉压 和脉压值, 避免依赖单次血压水平指导术前血压管理(I,A)
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐监测围术期 收缩压、收缩压、平均动脉压 和脉压值, 避免依赖单次血压水平指导术前血压管理(I,A)										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 986
    [catid] => 191
    [title] => 成人非心脏手术围术期血压评估与管理指南
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
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    [status] => 9
    [url] => https://www.anes-guide.com/show/986.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:22:42
    [updatetime] => 2024-01-11 15:22:42
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
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    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 高血压 1 级或 2 级患者无需推迟手术(I,A)
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										高血压 1 级或 2 级患者无需推迟手术(I,A)										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 987
    [catid] => 191
    [title] => 成人非心脏手术围术期血压评估与管理指南
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/987.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:22:42
    [updatetime] => 2024-01-11 15:22:42
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 推荐收缩压高于 180 mmHg 和 / 或 舒张压高于 110 mmHg
可延迟择期手术(I,A)
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐收缩压高于 180 mmHg 和 / 或 舒张压高于 110 mmHg
可延迟择期手术(I,A)										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 988
    [catid] => 191
    [title] => 成人非心脏手术围术期血压评估与管理指南
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/988.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:22:42
    [updatetime] => 2024-01-11 15:22:42
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 患者收缩压高于 180 mmHg 和 / 或舒张压高于 120 mmHg
且合并终末器官损害时,推荐取消择期手术并立即住院治疗
高血压急症(I,C)
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										患者收缩压高于 180 mmHg 和 / 或舒张压高于 120 mmHg
且合并终末器官损害时,推荐取消择期手术并立即住院治疗
高血压急症(I,C)										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 989
    [catid] => 192
    [title] => 成人非心脏手术围术期血压评估与管理指南
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/989.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:22:42
    [updatetime] => 2024-01-11 15:22:42
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 推荐长期服用 β 受体阻滞剂的患者, 围术期继续使用
β 受体阻滞剂(I,A)
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐长期服用 β 受体阻滞剂的患者, 围术期继续使用
β 受体阻滞剂(I,A)										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 990
    [catid] => 192
    [title] => 成人非心脏手术围术期血压评估与管理指南
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/990.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:22:42
    [updatetime] => 2024-01-11 15:22:42
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 推荐在非心脏手术前 24 h 内不新增使用 β 受体阻滞剂
(I,A)
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐在非心脏手术前 24 h 内不新增使用 β 受体阻滞剂
(I,A)										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 991
    [catid] => 192
    [title] => 成人非心脏手术围术期血压评估与管理指南
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/991.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:22:42
    [updatetime] => 2024-01-11 15:22:42
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 推荐围术期患者有≥3 个改良心脏危险指数(RCRI)
风险因素高危患者,于术前超过 1 周开始使用 β 受体阻滞剂
(IIa,C)
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐围术期患者有≥3 个改良心脏危险指数(RCRI)
风险因素高危患者,于术前超过 1 周开始使用 β 受体阻滞剂
(IIa,C)										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 992
    [catid] => 192
    [title] => 成人非心脏手术围术期血压评估与管理指南
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/992.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:22:42
    [updatetime] => 2024-01-11 15:22:42
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 非心脏手术前 24 h 停用 ACEI/ARB,如果患者血液动
力学稳定,则在手术后第 2 天重新开始 ACEI/ARB(I,A)
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										非心脏手术前 24 h 停用 ACEI/ARB,如果患者血液动
力学稳定,则在手术后第 2 天重新开始 ACEI/ARB(I,A)										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 993
    [catid] => 192
    [title] => 成人非心脏手术围术期血压评估与管理指南
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/993.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:22:42
    [updatetime] => 2024-01-11 15:22:42
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 不建议使用钙离子拮抗剂(CCB)以防止围术期心血管
事件。 长期规律口服治疗剂量的 CCB 对血流动力学无明显
影响,且能增强静脉麻醉药物、吸入麻醉药物、肌松药物和镇
痛药物的作用,故不推荐在术前停药(IIa,C)
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										不建议使用钙离子拮抗剂(CCB)以防止围术期心血管
事件。 长期规律口服治疗剂量的 CCB 对血流动力学无明显
影响,且能增强静脉麻醉药物、吸入麻醉药物、肌松药物和镇
痛药物的作用,故不推荐在术前停药(IIa,C)										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 994
    [catid] => 192
    [title] => 成人非心脏手术围术期血压评估与管理指南
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    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/994.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:22:42
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    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => 
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国老年医学学会医疗照护分会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 推荐术前 2 ~ 3 d 停用利尿剂, 使用利尿剂期间监测
电解质。
    [znzldj] => B
    [_inputtime] => 1704957762
    [_updatetime] => 1704957762
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐术前 2 ~ 3 d 停用利尿剂, 使用利尿剂期间监测
电解质。										
										   										
									 
    							
    								证据评价方法:
    								指南质量等级:B
    								年份:2023
    								国家:中国老年医学学会医疗照护分会